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1689030330
KATHERINE TILLMAN
TAMPA, FL
NPI
1689030330
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: FL 6906834)
Enumeration Date
2016-01-11
Last Update Date
2016-01-11
Business Address
-- KATHERINE TILLMAN
8119 N MULBERRY ST
TAMPA, FL 33604-3443
Phone number: 813-410-6159
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Mailing Address
-- KATHERINE TILLMAN
8119 N MULBERRY ST
TAMPA, FL 33604-3443
Phone number: 813-410-6159
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